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Organization

LIFESCRIPTS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARC NELSON M.D. (PRESIDENT)
(703) 919-2100
Entity
Organization

Contact information

Practice address
10401 HOSPITAL DR, SUITE G-03, CLINTON, MD 20735-3110
(301) 856-6000
Mailing address
1625 COLONIAL HILLS DR, MC LEAN, VA 22102-2940
(703) 919-2100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
104100000X
Social Worker

Other

Enumeration date
07/08/2014
Last updated
07/08/2014
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